Active NPI
Jamie Fairbanks Carlisle, PHARM. D.
- Pharmacist
- Apex, NC
National Provider Identifier
1629450176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18670
- Practice address
- 1441 Kelly Rd
Apex, NC 27502-9572 - Phone
- (919) 303-6204
- Fax
- (919) 249-5324
- NPI assigned
- Jun 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27267 | NC | |
| Pharmacist | 183500000X | 18670 | AL | Primary |
Addresses
Primary practice location
1441 Kelly Rd
Apex, NC 27502-9572
Mailing address
1441 Kelly Rd
Apex, NC 27502-9572
Phone (919) 303-6204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27267 | NC | MD | Pharmacist |
| 18670 | AL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Alabama LLC | Past | Accepting new patients | |
| Publix North Carolina LP | Past | Accepting new patients | |
| Publix North Carolina, LP | Past | Accepting new patients | |
| Publix Alabama, LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Apex, NC
- NPI 1134679517
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1578360525
-
- Community/Retail Pharmacy
- Irondale, AL
- NPI 1114967544
-
- Community/Retail Pharmacy
- Foley, AL
- NPI 1326856592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1629450176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 KELLY RD",
"city": "APEX",
"state": "NC",
"postal_code": "275029572",
"telephone_number": "919-303-6204",
"fax_number": "919-249-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 KELLY RD",
"city": "APEX",
"state": "NC",
"postal_code": "275029572",
"telephone_number": "919-303-6204",
"fax_number": "919-249-5324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLISLE",
"first_name": "JAMIE",
"middle_name": "FAIRBANKS",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-22",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "27267",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "18670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apex, NC
- Care Car
- Careone Medical Group - Primary Care, PLLC
- Carillon Assisted Living of Apex LLC
- Caring Hands Medical Lab Services LLC
- Caritas Catholic Counseling
- Sara Scott Carlson, LCSW
- Kristen Westbrook Carman, M.ED CCC-SLP
- Carolina Behavioral Care, P.a.
- Carolina Developmental Pediatrics PA
- Carolina Eye Clinic Apex OD PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.